26D2056322 CLIA NUMBER - WALGREENS #05228

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Laboratory Demographics

CLIA Number: 26D2056322

Facility Name: WALGREENS #05228

Facility Address:
4400 LEMAY FERRY RD
SAINT LOUIS, MO
ZIP 63129
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Facility Phone Number: 314 487-0636

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1043226582

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	26D2056322
LAB Type	Pharmacy
Facility Name	WALGREENS #05228
Street	4400 LEMAY FERRY RD
City	SAINT LOUIS
State	MO
ZIP	63129
Phone	314 487-0636
CertificateType	4
CertificateEffectiveDate	4/6/2023
CertificateExpirationDate	4/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024